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Hospice Care

Journal Article

Journal Article

Characteristics of Hospices Providing High-Quality Care

Hospice characteristics associated with strong performance on Hospice Item Set measures differ from those associated with strong performance on CAHPS measures. Providing professional staff visits in the last two days of life is associated with high performance in both quality domains.

Jun 25, 2020
Journal Article

Journal Article

Differences in Caregiver Reports of the Quality of Hospice Care Across Settings

Important opportunities exist to improve quality of hospice care in nursing homes and assisted-living facilities. Quality improvement and regulatory interventions targeting these settings are needed to ensure that all hospice decedents and their family receive high-quality, patient- and family-centered hospice care.

Jun 25, 2020
Journal Article

Journal Article

Palliative Care and Infection Management at End of Life in Nursing Homes: A Descriptive Survey

The aim of this study was to describe the current status of how nursing homes integrates palliative care and infection management at end of life across the nation.

Mar 19, 2020
Journal Article

Journal Article

Health System and Beneficiary Costs Associated With Intensive End-of-Life Medical Services

The objective of this paper is to quantify expected beneficiary and health system costs incurred in association with receipt of intensive medical services in the last month of life.

Mar 11, 2020
News Release

Growing Evidence Supports Best Practices in Palliative Care

A rapidly aging U.S. population with complex care needs will likely accelerate emphasis on palliative care services. A review of palliative care research found substantial evidence to support clinical practice guidelines and was incorporated into the new edition of the guidelines.

Oct 31, 2018
Periodical

Periodical

RAND Review: March-April 2018

This issue features a Q&A with Michael Rich, Soledad O'Brien, and Francis Fukuyama on the perils of truth decay, and a story on the trend toward unretirement among U.S. workers. The Voices column features Gulrez Shah Azhar on environmental refugees.

Mar 5, 2018
Journal Article

Journal Article

Black and Hispanic Patients Receive Hospice Care Similar to That of White Patients When in the Same Hospices

Black and Hispanic patients received care from poorer quality hospices than white patients.

Aug 1, 2017
News Release

News Release

Black and Hispanic Patients More Likely to Use Lower-Quality Hospices

Black and Hispanic patients are more likely to receive care from poorer-quality hospices. And their family caregivers are less likely to receive the right amount of emotional and religious support in hospice care. However, caregivers of black and Hispanic patients report similar or better experiences than caregivers of white patients within a given hospice.

Jul 5, 2017
Journal Article

Journal Article

A Systematic Review of Family Meeting Tools in Palliative and Intensive Care Settings

We systematically reviewed PubMed for articles describing family meeting tools and abstracted information on tool type, usage, and content.

Feb 22, 2016
Journal Article

Journal Article

Association of Early Patient-Physician Care Planning Discussions and End-of-Life Care Intensity in Advanced Cancer

Early patient-physician care planning discussions may influence the intensity of end-of-life (EOL) care received by veterans with advanced cancer.

Jul 28, 2015
Journal Article

Journal Article

The Invisible Homebound: Setting Quality-of-Care Standards for Home-Based Primary and Palliative Care

This article describes the current status of home-based medical care in the United States and offers a brief narrative of a fictional homebound patient and the health events and fragmented care she faces.

Jan 8, 2015
Report

Hospice Experience of Care Survey: Development and Field Test

This report describes development of the Hospice Experience of Care Survey, field test design, procedures, analytic methods and findings, and the final survey for national implementation by the Centers for Medicare & Medicaid Services.

Aug 8, 2014
Brochure

Assessing Patients' Experiences with Care

Understanding how patients experience care can encourage delivery of high-quality services. It also helps payers, including the Centers for Medicare & Medicaid Services, ensure that they pay for effective and efficient care.

Jun 26, 2013
Journal Article

Development of a Prognostic Model for Six-Month Mortality in Older Adults with Declining Health

Estimation of six-month prognosis is essential in hospice referral decisions, but accurate, evidence-based tools to assist in this task are lacking.

Mar 1, 2012
Journal Article

Journal Article

Hospice Use and High-Intensity Care in Men Dying of Prostate Cancer

This study assessed hospice use by men dying of prostate cancer and compared the use of high-intensity care between those who did or did not enroll in hospice. Those who enroll in hospice are less likely to receive high-intensity end-of-life care.

Dec 31, 2009
Journal Article

Journal Article

Discussions with Physicians About Hospice Among Patients with Metastatic Lung Cancer

Discussing hospice with a health care provider could increase awareness of hospice and possibly result in earlier use.

May 1, 2009
Journal Article

Journal Article

The Medicare Hospice Payment System: A Consideration of Potential Refinements

The purpose of this article is to examine variation in resource utilization across and within patient stays in the context of Medicare's per diem payment system for hospice.

Dec 31, 2008
Journal Article

Journal Article

Hospice and Emergency Room Use by Disadvantaged Men Dying of Prostate Cancer

Hospice care has been found to improve symptom management, quality of death and quality of life at the end of life.

Dec 31, 2008
Report

Report

The potential cost savings of greater use of home- and hospice- based end of life care in England

Expansion of home/community end of life services can reduce acute care costs and benefit patients by accommodating expressed preferences on place of death.

Nov 29, 2008
Journal Article

Journal Article

Paying the Price at the End of Life: A Consideration of Factors That Affect the Profitability of Hospice

Evaluates factors that affect the financial performance of hospice.

Aug 31, 2008

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